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864329

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Prescriptions: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to amend the list of long-term and orphan diseases which qualify for free prescriptions; and when he last consulted (a) patients, (b) doctors and (c) those in the (i) pharmaceutical and (ii) health industries on that subject.
	tabling member constituency	Bury North
	tabling member printed	James Frith
	uin	132813
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>We have no current plans to amend the list of long-term and orphan diseases which qualify for free prescriptions. The last consultation on this issue was as part of Professor Sir Ian Gilmore’s review in 2008, which included consultation with patients, the public and general practitioners.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:18:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4637 label Biography information for James Frith

864392

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Dental Services: Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the cost to the NHS of delivering emergency dental treatment in hospitals has been in each of the last five years.
	tabling member constituency	Bolton North East
	tabling member printed	Sir David Crausby
	uin	132876
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:17:35 answering member 4067 label Biography information for Steve Brine
	tabling member	437 label Biography information for Sir David Crausby

864409

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Regional Medicines Optimisation Committees
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with clinical commissioning groups on ensuring that guidance from the NHS England Regional Medical Optimisation Committee is implemented and that the committee is consulted on funding decisions.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	132892
	answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>The intended role and function of Regional Medicines Optimisation Committees (RMOCs) has been co-developed by NHS England and National Health Service clinical commissioners on behalf of clinical commissioning groups. The status of RMOC recommendations and all other outputs are advisory. They do not affect the statutory legal responsibilities and duties of NHS organisations. Where a recommendation is made by a Committee, funding implications will be considered as part of the underpinning evidence base to support the decision making process.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 14:37:47 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

864399

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Rare Diseases: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of reviewing the effect of changes to the National Institute of Health and Care Excellence Highly Specialised Technology Programme earlier than three years after their implementation in April 2017.
	tabling member constituency	Knowsley
	tabling member printed	Mr George Howarth
	uin	132883
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for the methods and processes used in the development of its guidance, and for keeping its procedures under review. Following consultation with stakeholders, NICE concluded that a three year period would be appropriate to gain sufficient experience of its updated highly specialised technology evaluation methods to enable a robust review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:16:46 answering member 4067 label Biography information for Steve Brine
	tabling member	481 label Biography information for Sir George Howarth

864295

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Rare Diseases: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he will assess the potential merits of introducing a separate assessment process for rare disease medicines that do not meet the criteria set out by the National Institute of Health and Care Excellence for their Highly Specialised Technology route.
	tabling member constituency	Cambridge
	tabling member printed	Daniel Zeichner
	uin	132779
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>The Department has no plans to establish a new assessment process for the evaluation of rare disease treatments. The National Institute for Health and Care Excellence (NICE) develops guidance on most new drugs through its technology appraisal programme, and has been able to recommend a number of drugs for rare diseases for routine use on the National Health Service.</p><p> </p><p>There is an established topic selection process for the technology appraisal and highly specialised technology evaluation programme that includes a public consultation and is designed to ensure that treatments are only referred for assessment by NICE where its guidance will add value. NICE periodically reviews its methods and processes to ensure that they remain fit for purpose for the NHS in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:15:12 answering member 4067 label Biography information for Steve Brine
	tabling member	4382 label Biography information for Daniel Zeichner

864339

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Primary Care Support England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what sanctions are available to his Department in the event of Primary Care Support England failing to deliver contracted services.
	tabling member constituency	Bury North
	tabling member printed	James Frith
	uin	132823
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>The Department does not hold authority over sanctions in relation to this contract. The contract is between NHS England and Capita Business Services Ltd. It is NHS England’s obligation as the contract holder to oversee service standards. NHS England advises that the contract contains a range of remedies to incentivise and address performance. These include the application of financial service credits where agreed levels of performance are not achieved and rectification processes to affect improvement in service performance where this falls below expected levels.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:37:00 answering member 4067 label Biography information for Steve Brine
	tabling member	4637 label Biography information for James Frith

864408

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Medical Equipment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to address regional variations in access to flash glucose monitoring.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	132891
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>Reducing variation in the management and care of people with diabetes by 2020 is an objective in the National Health Service mandate. The NHS RightCare diabetes pathway shows the core components of an optimal diabetes service, as well as evidence of the opportunity to reduce variation. Ultimately it is for clinical commissioning groups (CCGs), who are primarily responsible for commissioning diabetes services, to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence and take into account national guidelines. This includes determining whether specific technologies, such as flash glucose monitoring, form part of their service and if it is suitable for individual patients to support the ongoing management of their condition. The Regional Medicines Optimisation Committee North has issued advice on the use of Freestyle Libre to support the CCGs in doing this.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:09:25 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

864406

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Sugar: Health Hazards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve people's awareness of free sugars and associated health risks.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	132889
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>Public Health England’s social marketing campaign, Change4Life, supports the Government’s sugar reduction agenda. In recent years there have been a number of Change4Life campaigns to encourage families to cut down on sugar, including: Sugar Swaps (2015), Sugar Smart (2016), Be Food Smart (2017) and a healthier snacking campaign in 2018.</p><p> </p><p>The Change4Life campaigns support families to reduce sugar by alerting families to the problem that children in England are eating nearly three times the recommended amount of sugar and the associated health harms, highlighting the amounts of sugar in popular drinks, foods and snacks, and informing parents about the recommended daily guidelines for sugar. The campaigns also provide tips and support to help families swap to food and drinks with less sugar. Change4Life also works with partners to provide money-off vouchers and special offers in-store on healthier products.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/03/2018 14:12:01 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

864378

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Rheumatoid Arthritis: Podiatry
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he takes to ensure that every patient newly diagnosed with rheumatoid arthritis is referred to podiatry services for early examination.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	132862
	answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>Provision of podiatry service is a local matter. The guideline Rheumatoid arthritis in adults: management, updated by the National Institute for Health and Care Excellence (NICE) in 2015, recommends that all people with rheumatoid arthritis who have foot problems should have access to a podiatrist for assessment and periodic review of their foot health needs. We expect commissioners to take NICE guidance into account when planning services for local populations. The guideline can be found at the following link:</p><p><a href="https://www.nice.org.uk/guidance/cg79" target="_blank">https://www.nice.org.uk/guidance/cg79</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 14:40:21 answering member 4067 label Biography information for Steve Brine
	tabling member	4532 label Biography information for Derek Thomas

864334

	registered interest
	date	15/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Primary Care Support England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, which Key Performance Indicators (KPI) apply to the performers list date and local medical committee area of work carried out by Primary Care Support England (PCSE); how often PCSE reported against those KPIs; which targets were reached and how many complaints were received on those targets in each of the last three years.
	tabling member constituency	Bury North
	tabling member printed	James Frith
	uin	132818
	answer	answer is ministerial correction date of answer 23/03/2018 answer text <p>Primary Care Support England services are provided by Capita Business Services Ltd under contract with NHS England. The contract contains service standards, including Key Performance Indicators (KPIs) that specify the agreed measurement and evaluation of performance delivery. The KPIs relating to patient registration, medical records, local performers list, local medical committee, pensions and general practitioner payments are attached.</p><p> </p><p>NHS England closely monitors delivery of the services against these performance standards, which are reported by Capita on a monthly basis. However, information relating to targets and complaints is commercially sensitive and therefore we are unable to provide this information.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 132815 132816 132817 132819 132820 question first answered 23/03/2018 14:40:56 answering member 4067 label Biography information for Steve Brine attachment 1 file name PCSE KPI List.docx title PQ132815 attached document
	tabling member	4637 label Biography information for James Frith